Supplies, drugs & other prices at Vandalia Health Mon Stonewall Jackson Memorial Hospital
Weston, WV · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $812.98 | $1,625.95 | 2.4× |
| Admin hepatitis b vaccine (G0010) | $130.81 | $261.62 | 2.9× |
| Admin influenza virus vac (G0008) | $130.81 | $261.62 | 2.9× |
| Admin pneumococcal vaccine (G0009) | $130.81 | $261.62 | 2.9× |
| Direct refer hospital observ (G0379) | $1,768.76 | $3,537.51 | 3.1× |
| Drug test def 1-7 classes (G0480) | $351.52 | $703.03 | 3.1× |
| Drug test def 22+ classes (G0483) | $758.51 | $1,517.02 | 3.1× |
| Elec stim other than wound (G0283) | $44 | $88 | 3.5× |
| Elec stim unattend for press (G0281) | $44 | $88 | 3.8× |
| Home sleep test/type 2 porta (G0398) | $430.14 | $860.28 | 2.1× |
| Hospital outpt clinic visit (G0463) | $364.02 | $728.03 | 2.9× |
| Oth resp proc, group (G0239) | $110.44 | $220.87 | 3.1× |
| Oth resp proc, indiv (G0238) | $82 | $163.99 | 3.0× |
| Pathogen test for platelets (P9100) | $154.44 | $308.88 | 2.7× |
| Therapeutic procd strg endur (G0237) | $82 | $163.99 | 3.0× |
| Tomosynthesis, mammo (G0279) | $71.30 | $142.60 | 5.6× |
| Trauma respons w/hosp criti (G0390) | $3,334.28 | $6,668.54 | 2.6× |
| Tte w or wo fol wcon,doppler (C8929) | $2,204.85 | $4,409.70 | 2.9× |
| Visit to determ ldct elig (G0296) | $245.47 | $490.93 | 2.5× |